RHIA Exam Prep - Domain 3

To ensure quality of data, the cancer committee reviews the abstracting done by the cancer registry personnel. This type of reliability check is called:
a. Precision
b. Recheck
c. Interrater
d. Construct

c. Interrater
Reliability is frequently checked by having more than one person abstract data for the same case. The results are then compared to identify any discrepancies. This is called an interrater reliability method of checking. Several different peo

The computer abstracting system in a facility has an edit that does not allow coders to assign obstetrical codes to male patients. This edit is called a(n):
a. Preventive control
b. Feedback control
c. Performance measure
d. Audit trail

a. Preventive control
Preventive controls are front-end processes that guide work in such a way that input and process variations are minimized. Simple things such as standard operating procedures, edits on data entered into computer-based systems, and tr

A technique that describes an interaction between a user and a system is called a(n):
a. Use case analysis
b. RHIO
c. Test case
d. Use description

a. Use case analysis
A use case analysis is a technique that describes an interaction between a user and a system. A use case diagram displays the relationship among actors and use cases. The two main components of a use case diagram are use cases and act

An analyst wishes to test the hypothesis that the wait time in the emergency department is longer on weekends than weekdays. What is the alternative hypothesis?
a. The average wait time is shorter on weekends.
b. The average wait time is longer on weekend

b. The average wait time is longer on weekends.
The alternative hypothesis is the compliment of the null hypothesis and typically requires some action to be taken. In this scenario, the analyst is comparing emergency department wait times between weekends

The HIM director is performing a staffing analysis to determine the number of employees needed to prep, scan, index, and carry out quality control on scanned medical records. Given a turnaround time of 24 hours and an average number of 48,000 images to be

a. 25 employees
The staffing level is determined by dividing the number of images by the expected productivity. An FTE is the total number of workers, including part-time, in an area as the equivalent of fulltime positions. Divide 48,000 by maximum standa

How long should the master patient index be maintained?
a. For at least 5 years
b. For at least 10 years
c. For at least 25 years
d. Permanently

d. Permanently
The master patient index (MPI) is a permanent database including every patient ever admitted to or treated by the facility. Even though patient health records may be destroyed after legal retention periods have been met, the information con

A director of a health information services department plans to do a research project on motivation that involves rewarding some employees for achieving specified goals. A control group will not be rewarded for achieving the same goals. Which entity will

a. Institutional Review Board
The Institutional Review Board (IRB) is a committee established to protect the rights and welfare of human research subjects involved in research activities. The IRB determines whether research is appropriate and protects hum

Dictated and transcribed reports and notes written by the physicians and other practitioners are examples of:
a. Standardized clinical information
b. Codified data
c. Aggregate data
d. Unstructured clinical information

d. Unstructured clinical information
Unstructured clinical information would include notes written by the physicians and other practitioners who treat the patient, dictated and transcribed reports, and legal forms such as consents and advanced directives

Which of the following is the goal of an MPI ongoing maintenance program?
a. To maintain low creation rates for duplicates, overlaps, and overlays
b. To maintain the readmission rate for the facility
c. To carry out treatment, payment, and operations
d. T

a. To maintain low creation rates for duplicates, overlaps, and overlays
MPI management must include continuous maintenance and correction of data integrity problems. Ongoing education of registration and scheduling staff is critical to maintaining low cr

Which of the following is an example of an e-health application?
a. Bedside nursing care
b. Appointment scheduling
c. Direct patient care
d. Emergency care records

b. Appointment scheduling
E-health is the application of e-commerce to the healthcare industry. These include the links among the healthcare trading and business partners; the links to healthcare equipment and supply vendors, providers, and health plans;

This type of data display tool is used to illustrate frequency distributions of continuous variables, such as age or length of stay (LOS).
a. Bar graph
b. Histogram
c. Pie chart
d. Scatter diagram

b. Histogram
A histogram is used to display a frequency distribution. It is different from a bar graph in that a bar graph is used to display data that fall into groups or categories (nominal or ordinal data) when the categories are noncontinuous or discr

Which of the following are phases of the systems development life cycle (SDLC)?
a. Design, analysis, and alignment
b. Maintenance, implementation, and improvement
c. Analysis, design, and implementation
d. Analysis, alignment, and improvement

c. Analysis, design, and implementation
Although there are many different models of the SDLC, all generally include a variation of the following four phases: analysis, design, implementation, and maintenance and evaluation. Alignment and improvement are n

Data mining is a process that involves which of the following?
a. Using reports to measure outcomes
b. Using sophisticated computer technology to sort through an entity's data to identify unusual patterns
c. Producing summary reports for management to run

b. Using sophisticated computer technology to sort through an entity's data to identify unusual patterns
In data mining, the analyst performs exploratory data analysis to determine trends and identify patterns in the data set. Data mining is sometimes ref

In which type of health information exchange architectural model does the entity operate much like an application service provider (ASP) or bank vault?
a. Consolidated
b. Federated�consistent databases
c. Federated�inconsistent databases
d. Switch

b. Federated�consistent databases
The federated architectural type has become more prevalent for health information organizations. There are two forms of this architecture. The consistent federated form is very similar to the consolidated architecture in

When describing the typical length of stay for patients admitted for congestive heart failure, which is the most appropriate measure of central tendency when there are a number of long stay outliers?
a. Minimum
b. Mean
c. Median
d. Mode

c. Median
If the sample has extreme values on either the high or low end of the scale, then the median may be the better choice for describing the center of the distribution. The median is less influenced by outliers (White 2016b, 520).

What is an advantage of the unit numbering system?
a. All records for a specific patient, both inpatient and outpatient, are kept together.
b. The charts have to be split into volumes for filing.
c. The hospital can accommodate a large outpatient clinic w

a. All records for a specific patient, both inpatient and outpatient, are kept together.
One benefit of the unit numbering system is that all records for a specific patient, both inpatient and outpatient, are kept together (Reynolds and Sharp 2016, 128).

What technology creates images of paper documents that can be incorporated into an electronic health record?
a. Clinical data repository
b. Data exchange standards
c. Central processor
d. Document scanner

d. Document scanner
Many hospitals incorporate documents into their EHR systems using image-processing technology. A document scanner creates images of paper documents that are then stored in health record databases as electronic files. Using scanned imag

A hospital allows the use of the copy functionality in its EHR system for documentation purposes. The hospital has established explicit policies that define when the copy function may be used. Which of the following would be the best approach for conducti

a. Randomly audit EHR documentation for patients readmitted within 30 days.
Auditing a random selection of EHR documentation would be the best approach for avoiding selection bias and in determining how the copy function is being used (Forrestal 2016, 593

In the following there is:
(scatterplot with upward angle) - image from free gallery
a. No correlation between the variables
b. A negative relationship between the variables
c. A weak negative correlation between the variables
d. A positive relationship b

d. A positive relationship between the variables
Scatter diagrams are used to plot the points for two continuous variables that may be related to each other in some way. Whenever a scatter diagram indicates that the points are moving together in one direc

In which phase of the systems development life cycle does initial training on a new information system generally occur?
a. Analysis
b. Design
c. Implementation
d. Maintenance and evaluation

c. Implementation
During the implementation phase of the SDLC, a comprehensive plan for implementing the new system is developed. This plan would include all plans for training managers, technical staff, and other end-users (Amatayakul 2017, 46).

The probability of making a Type I error based on a particular set of data is called the ________.
a. Sampling value
b. Hypothesis test
c. A-probability
d. P-value

d. P-value
The probability of making a Type I error based on a particular set of data is called the p-value (White 2016b, 514).

Suppose that you are purchasing shelving units. The department has planned for units that are 5 shelves high, and each shelf is to be 36 inches wide and have 33 inches of actual filing space. From a sampling of records in the current files, you have deter

d. 243
The estimated number of file shelves needed is based on several factors. One consideration is the average size of individual records. The volume of patients and the number of repeat visits or readmissions affect the potential expansion of each indi

The process of recouping lost data or reconciling conflicting data after a system failure is called:
a. Data backup
b. Data mapping
c. Data recovery
d. Data warehouse

c. Data recovery
Contingency and disaster planning prepare the facility to operate in a manual process and to get the information systems up and operational again. When the systems are again functional, data recovery must occur. Data captured during the d

The patient accounting department at Wildcat Hospital is concerned because last night's bill drop contained half the usual number of inpatient cases. Which of the following reports will be most useful in determining the reason for the low volume of bills?

b. Discharged, no final bill report
A bill cannot be generated until the coding is complete, so organizations routinely monitor the discharged, no final bill (DNFB) days. Generally this is done by reviewing the DNFB report that includes all patients who h